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Baby having fever and unilateral cervical lymphadenitis. Suggest effective medicine for cure

4 years & 7 months female child have fever, & unilateral cervical lymphadenitis & started on cefuroxime & paracetamol & ibuprofen almost in full dose ( cefuroxime 350 mg every 12 hours, ibuprofen 200 mg every 6 to 8 hours, paracetamol 200 300 mg evry 6 to 8 hours, but still having episodes of fever up to 39.5 for 4 days wbcs 0000 & start to have erythema of palms & soles now , there is periods of feeling well & bad what is your opinion?
Asked On : Wed, 9 Jan 2013
Answers:  3 Views:  62
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Pediatrician, Neonatology 's  Response
hi Nasserahmid,
it seems your daughter is suffering from upper respiratory tract infection ,if she does not respond by 5th day of antibiotics u have to meet your pediatrician again ,she/he needs to do proper workout and change of medicines .cervical lymphadenitis is due to infection of throat and erythema of palm and sole can be because of fever,or rash due to fever.
well remember to keep your baby well hydrated that is give lot of liquids, avoid juices they will further irritate the throat .give soft diet at regular intervals ,it will help in speedy recovery
well any other query u are most welcome
Dr Aarti
Answered: Wed, 9 Jan 2013
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Pediatrician, Cardiology Dr. Pradeep Kumar's  Response
Fever with cervical lymphadenopathy In a 4 and 1/2 year child may be due to viral infection (may be infectious mononucleosis), bacterial ( like scarlet fever), kawasaki disease an immunological condition or some other causes.
In viral infection there may be high temperature during initial days. As already you are giving full dosage of antipyratics, medicine will not help much. You can try meftal-p as it is more potent antipyratic. Don't use too many antipyratics simultaneously. Do tepid sponging frequently, it is the best method to bring down the temperature. Give him plenty of water.
Due to some problem your WBC count is not here. So continue giving cefuroxime and again consult your physician for proper clinical and lab checkups to reach the diagnosis and management accordingly.
Answered: Wed, 9 Jan 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Hi Nasser,
Thank you for your query,
With high grade fever and erythema of palms and soles it is appearing like viral illness. But i want to know are there cold, cough or throat pain?
If fever is continues consult your Pediatrician for reexamination and for investigation if required
I hope i have answered your query.
Answered: Wed, 9 Jan 2013
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